A system and method is provided for acquiring flow encoded data from a subject using a magnetic resonance imaging (MRI) system. The method includes acquiring flow encoded (fe) data with alternating encoding polarities and along two of three orthogonal directions through the subject over at least two cycles of the flow within the subject; and separating the fe data into directional fe datasets using a temporal filter that separates the fe data based on temporal modulation of the fe directions caused by the alternating encoding polarities extending over the at least two cycles of the flow within the subject that shift the fourier spectrum of velocity waveforms corresponding to the fe data. The method also includes using the directional fe datasets to generate an image of the subject showing flow within the subject caused by the at least two cycles of flow within the subject.
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1. A method for acquiring flow encoded data from a subject using a magnetic resonance imaging (MRI) system to reconstruct an image of the subject illustrating flow within the subject, the method includes steps comprising:
(i) using the MRI system, acquiring flow encoded (fe) data with alternating encoding polarities and along at least two of three orthogonal directions through the subject over at least two cycles of the flow within the subject, wherein the flow includes vascular flow, the at least two cycles include cardiac cycles, and the three orthogonal directions comprise a first direction (fe1), a second direction (fe2), and a third direction (fe3), and wherein acquiring the fe data further comprises:
acquiring the fe data by acquiring an fe1 signal that is encoded along the first direction (fe1 data), wherein a phase for the acquired fe1 signal, ϕ1(t), is given by ϕ0(t)+ϕv,1(t) for odd cardiac phases and is given by ϕ0(t)−ϕv,1(t) for even cardiac phases, and wherein ϕ0(t) is a waveform for a flow compensated (fc) background phase signal and ϕv,1(t) is a phase signal along the first direction; and
further acquiring the fe data by acquiring an fe2 signal that is encoded over the second direction (fe2 data) and acquiring an fe3 signal that is encoded over the third direction (fe3 data) during each repetition time (TR), wherein a phase of combined fe2 data and fe3 data, ϕ32(t), is given by ϕ0(t)+ϕv,3(t)+ϕv,2(t) for odd cardiac phases and is given by ϕ0(t)+ϕv,3(t)−ϕv,2(t) for even cardiac phases, wherein ϕv,2(t) is a phase signal along the second direction and ϕv,3(t) is a phase signal along the third direction;
(ii) separating the fe data into directional fe datasets using a temporal filter that separates the fe data based on temporal modulation of fe directions caused by the alternating encoding polarities extending over the at least two cycles of the flow within the subject that shift a fourier spectrum of velocity waveforms corresponding to the fe data, wherein separating the fe data into directional fe datasets further comprises:
filtering the acquired fe1 data to produce the fc background phase signal, ϕ0(t), and the first phase signal, ϕv,1(t);
subtracting the fc background phase signal, ϕ0(t), from the phase signal along the second direction, ϕv,2(t), and the phase signal along the third direction, ϕv,3(t); and
separating the phase signal along the second direction, ϕv,2(t), and the phase signal along the third direction, ϕv,3(t); and
(iii) using the directional fe datasets, generating the image of the subject showing flow within the subject caused by the at least two cycles of flow within the subject.
5. A magnetic resonance imaging (MRI) system comprising:
a magnet system configured to generate a polarizing magnetic field about at least a portion of a subject arranged in the MRI system;
a plurality of gradient coils configured to apply a gradient field to the polarizing magnetic field;
a radio frequency (RF) system configured to apply an excitation field to the subject and acquire MR image data therefrom;
a computer system programmed to:
control the plurality of gradient coils and RF system to acquire flow encoded (fe) data with alternating encoding polarities and along two of three orthogonal directions through the subject over at least two cycles of physiological flow within the subject, wherein the physiological flow includes vascular flow, the at least two cycles include cardiac cycles, and the three orthogonal directions comprise a first direction (fe1), a second direction (fe2), and a third direction (fe3), and wherein acquiring the fe data further comprises:
acquiring the fe data by acquiring an fe1 signal that is encoded along the first direction (fe1 data), wherein a phase for the acquired fe1 signal, ϕ1(t), is given by ϕ0(t)+ϕv,1(t) for odd cardiac phases and is given by ϕ0(t)−ϕv,1(t) for even cardiac phases, and wherein ϕ0(t) is a waveform for a flow compensated (fc) background phase signal and ϕv,1(t) is a phase signal along the first direction; and
further acquiring the fe data by acquiring an fe2 signal that is encoded over the second direction (fe2 data) and acquiring an fe3 signal that is encoded over the third direction (fe3 data) during each repetition time (TR), wherein a phase of combined fe2 data and fe3 data, ϕ32(t), is given by ϕ0(t)+ϕv,3(t)+ϕv,2(t) for odd cardiac phases and is given by ϕ0(t)+ϕv,3(t)−ϕv,2(t) for even cardiac phases, wherein ϕv,2(t) is a phase signal along the second direction and ϕv,3(t) is a phase signal along the third direction;
separate the fe data into directional fe datasets using a temporal filter that separates the fe data based on temporal modulation of the fe directions caused by the alternating encoding polarities extending over the at least two cycles of the physiological flow within the subject that shift a fourier spectrum of velocity waveforms corresponding to the fe data, wherein separating the fe data into directional fe datasets further comprises:
filtering the acquired fe1 data to produce the fc background phase signal, ϕ0(t), and the first phase signal, ϕv,1(t);
subtracting the fc background phase signal, ϕ0(t), from the phase signal along the second direction, ϕv,2(t), and the phase signal along the third direction, ϕv,3(t); and
separating the phase signal along the second direction, ϕv,2(t), and the phase signal along the third direction, ϕv,3(t); and
using the directional fe datasets, generate the image of the subject showing flow within the subject caused by the at least two cycles of flow within the subject.
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This application is a divisional of pending U.S. application Ser. No. 16/080,644, filed Aug. 28, 2018, which represents the national stage entry of International Application PCT/US2017/019814, filed Feb. 28, 2017, which claims benefit of and priority to U.S. Provisional Patent Application 62/301,395, filed Feb. 29, 2016, which is incorporated herein by reference in its entirety for all purposes.
When a substance such as human tissue is subjected to a uniform magnetic field (polarizing field B0), the individual magnetic moments of the nuclear spins in the tissue attempt to align with this polarizing field, but precess about it in random order at their characteristic Larmor frequency. Usually the nuclear spins are comprised of hydrogen atoms, but other NMR active nuclei are occasionally used. A net magnetic moment Mz is produced in the direction of the polarizing field, but the randomly oriented magnetic components in the perpendicular, or transverse, plane (x-y plane) cancel one another. If, however, the substance, or tissue, is subjected to a magnetic field (excitation field B1; also referred to as the radiofrequency (RF) field) which is in the x-y plane and which is near the Larmor frequency, the net aligned moment, Mz, may be rotated, or “tipped” into the x-y plane to produce a net transverse magnetic moment Mt, which is rotating, or spinning, in the x-y plane at the Larmor frequency. The practical value of this phenomenon resides in the signal which is emitted by the excited spins after the excitation field B1 is terminated. There are a wide variety of measurement sequences in which this nuclear magnetic resonance (NMR) phenomenon is exploited.
When utilizing these signals to produce images, magnetic field gradients (Gx, Gy, and Gz) are employed. Typically, the region to be imaged experiences a sequence of measurement cycles in which these gradients vary according to the particular localization method being used. The emitted MR signals are detected using a receiver coil. The MRI signals are then digitized and processed to reconstruct the image using one of many well-known reconstruction techniques.
Magnetic resonance angiography (MRA) and, related imaging techniques, such as perfusion imaging, use the NMR phenomenon to produce images of the human vasculature or physiological performance related to the human vasculature. There are three main categories of techniques for achieving the desired contrast for the purpose of MR angiography. The first general category is typically referred to as contrast enhanced (CE) MRA. The second general category is phase contrast (PC) MRA. The third general category is time-of-flight (TOF) or tagging-based MRA.
To perform CE MRA, a contrast agent, such as gadolinium, is injected into the patient prior to the magnetic resonance (MR) angiogram to enhance the diagnostic capability of the MR angiogram. Perfusion imaging is employed to assess the viability of tissues. A contrast agent is administered to the subject and a series of MR images are acquired as the contrast agent perfuses into the tissues of interest. From this series of contrast-enhanced MR images hemodynamic parameters such as blood flow, blood volume, and mean transit time may be computed.
While CE MRA is a highly effective means for noninvasively evaluating the vascular and physiological performance, for example, by studying perfusion, the technique suffers from several additional drawbacks. First, the contrast agent that must be administered to enhance the blood vessel carries a significant financial cost. Second, contrast agents such as gadolinium have recently been shown to be causative of a debilitating and potentially fatal disorder called nephrogenic systemic fibrosis (NSF). Third, CE MRA, may not provide accurate or sufficient hemodynamic information, so that it is not always feasible to determine if a stenosis is hemodynamically significant or to assess the perfusion in a clinically useful manner.
As such, non-contrast enhanced (NE) MRA methods have become more prevalent. For example, TOF imaging techniques do not require the use of a contrast agent and do not rely on potentially-precarious velocity encoding sensitivities. Contrary to CE-MRA, which relies on the administered contrast agent to provide an increase in measured MR signal, TOF MRA relies on the inflow of blood into an imaging volume to increase the signal intensity of the vasculature as compared to the stationary background tissues. This is achieved by the application of a number of RF excitation pulses to the imaging volume that cause the magnetization of the stationary background tissues to reach a saturation value. Since inflowing blood entering the imaging volume is not exposed to the same number of RF excitation, it will provide higher MR signal intensity than the background tissue. The differences between the signal intensity of the stationary background tissues and the inflowing blood thus provide a contrast mechanism exploited by TOF MRA.
In an effort to increase contrast attributable to the relatively small signal levels or weight particular signals, for example, those attributable to cerebral blood flow (CBF) or another measurable mechanism, various “tagging” or “labeling” methods have been developed. One such method is referred to as the arterial spin labeling (ASL) family of techniques.
Phase contrast (PC) MRA techniques utilize the change in the phase shifts of the flowing protons in the region of interest to create an image. Spins that are moving along the direction of a magnetic field gradient receive a phase shift proportional to their velocity. Specifically, in a PC MRA pulse sequence, two data sets with a different amounts of flow sensitivity are acquired. This is usually accomplished by applying gradient pairs, which sequentially dephase and then rephase spins during the sequence. The first data set is acquired using a “flow-compensated” (FC) pulse sequence or a pulse sequence without sensitivity to flow. The second data set is acquired using a “flow-encoded” FE pulse sequence designed to be sensitive to flow. The amount of flow sensitivity is controlled by the strength of the bipolar gradient pairs used in the pulse sequence because stationary tissue undergoes no effective phase change after the application of the two gradients, whereas the different spatial localization of flowing blood is subjected to the variation of the bipolar gradient. Accordingly, moving spins experience a phase shift. The raw data from the two data sets are subtracted to yield images that illustrate the phase change, which is proportional to spatial velocity.
Although PC-MRI is typically performed with FE gradients applied in the slice direction in 2D acquisitions, the FE gradients can also be applied in more than one orientations, such as in 2D tissue phase mapping or 4D flow, to capture the blood flow/tissue motion in slice, phase-encoding, and frequency encoding directions. For these applications, the temporal resolution is typically poorer than conventional 2D PC-MRI due to the need to acquire the FC data and FE data in three directions for each cardiac phase. It has been shown that temporal resolution and temporal footprint of PC-MRI may affect the measurement accuracy of maximum peak velocity, which is an important index for diagnosis of a number of clinical diseases, such as carotid artery stenosis. Low temporal resolution and long temporal footprint can result in under-estimation of the maximum peak velocity as well as pressure gradients across valves or stenoses. Reducing views-per-segment, such that the number of k-space lines acquired for each cardiac phase within a single cardiac cycle is reduced, may improve temporal resolution. However, doing so it requires increased total image acquisition time.
Fast MRI techniques such as non-Cartesian sampling, parallel imaging, k-t space acceleration, and compressed sensing techniques have been developed to effectively reduce the total acquisition time of PC-MRI or to improve the temporal resolution. The temporal resolution may also be improved by several other techniques. A recently proposed shared velocity encoding (SVE) technique, as described in Lin H-Y, Bender J A, Ding Y, Chung Y-C, Hinton A M, Pennell M L, Whitehead K K, Raman S V, Simonetti O P. Shared velocity encoding: A method to improve the temporal resolution of phase-contrast velocity measurements. Magn. Reson. Med. 2012; 68:703-710. doi: 10.1002/mrm.23273, uses interleaved two-sided velocity encodings and sliding window subtractions, doubling the temporal resolution. However, the temporal footprint of each cardiac phase in the SVE technique is the same as traditional 2D PC-MRI, despite improved temporal resolution through view-sharing. Furthermore, the implementation of the SVE technique in three-dimensional PC-MRI implies even longer temporal footprint (=6*TR*views-per-segment) than conventional 4D flow acquisition (=4*TR*views-per-segment). The issue of temporal footprint is mitigated by the so-called FCVS technique, as described in Wang D, Shao J, Rapacchi S, Middione M J, Ennis D B, Hu P. Phase contrast MRI with flow compensation view sharing. Magn. Reson. Med. 2015; 73:505-513. doi: 10.1002/mrm.25133, where the FC data is under-sampled and view shared based on the assumption that the FC background phase data do not change as fast in time as the FE data.
Therefore, it would be desirable to have a system and method for providing the clinically-required information upon which clinicians have come to rely on PC MRI, but with improved temporal resolution and temporal footprint, particularly, within the context of 4D flow acquisitions.
The present disclosure provides systems and methods for performing flow or velocity encoded magnetic resonance imaging (MRI) that overcomes the aforementioned drawbacks. More particularly, a phase contrast (PC-) MRI technique is provided that uses a hybrid one- and two-sided flow encoding and velocity spectrum separation, referred to herein as the HOTSPA technique. In the HOTSPA technique, the flow velocity encoding polarity is alternated, for example, between successive cardiac phases, for two flow-encoded (FE) directions and remains one-sided in the remaining FE direction. The flow-compensated (FC) data does not need to be explicitly acquired. For example, the HOTSPA technique allows separations of the Fourier velocity spectrum of the background phase (FC) waveform, as well as the velocity waveforms in the three FE directions, such as within the cardiac cycle. This enables 3D velocity calculation based on 2 samples in the 3D space of first-moment (M1) rather than 4 samples as in conventional 4D flow techniques. Compared to conventional PC-MRI, the HOTSPA technique can sample the hybrid M1−t space more efficiently and can reduce the temporal sampling period and temporal footprint of 4D flow acquisition by, for example, 50 percent.
In accordance with one aspect of the present disclosure, a method is provided for producing magnetic resonance angiographic (MRA) images of a subject. The method includes performing, using a magnetic resonance imaging (MRI) system, a phase-contrast pulse sequence to acquire imaging data by acquiring a first set of MR data that is flow encoded along a first direction (FE1) using a two-sided flow-encoding strategy that is free of flow compensation and acquiring a second set of MR data that is flow encoded along a second direction (FE2) and flow encoded along a third direction (FE3) using a hybrid one- and two-sided flow encoding strategy. The method also includes separating the first set of MR data into a background phase signal ϕ0(t) and a first directional phase signal ϕv,1(t) and separating the second set of MR data into a second directional phase signal ϕv,2(t) and a third directional phase signal ϕv,3(t). The method further includes reconstructing MRA images of the subject using the background phase signal ϕ0(t), the first directional phase signal ϕv,1(t), the second directional phase signal ϕv,2, the third directional phase signal ϕv,3(t).
In accordance with another aspect of the present disclosure, a method is provided for acquiring flow encoded data from a subject using a magnetic resonance imaging (MRI) system to reconstruct an image of the subject illustrating flow within the subject. The method includes, using the MRI system, acquiring flow encoded (FE) data with alternating encoding polarities and along two of three orthogonal directions through the subject over at least two cycles of the flow within the subject. The method also includes separating the FE data into directional FE datasets using a temporal filter that separates the FE data based on temporal modulation of the FE directions caused by the alternating encoding polarities extending over the at least two cycles of the flow within the subject that shift the Fourier spectrum of velocity waveforms corresponding to the FE data. The method further includes using the directional FE datasets, generating an image of the subject showing flow within the subject caused by the at least two cycles of flow within the subject.
In accordance with yet another aspect of the present disclosure, a magnetic resonance imaging (MRI) system is provided. The MRI system includes a magnet system configured to generate a polarizing magnetic field about at least a portion of a subject arranged in the MRI system and a plurality of gradient coils configured to apply a gradient field to the polarizing magnetic field. The MRI system also includes a radio frequency (RF) system configured to apply an excitation field to the subject and acquire MR image data therefrom and a computer system. The computer system is programmed to control the plurality of gradient coils and the RF system to perform a phase-contrast pulse sequence to acquire imaging data. The imaging data is acquired by acquiring a first set of MR data that is flow encoded along a first direction (FE1) using a two-sided flow-encoding strategy that is free of flow compensation and acquiring a second set of MR data that is flow encoded along a second direction (FE2) and flow encoded along a third direction (FE3) using a hybrid one- and two-sided flow encoding strategy. The computer system is further programmed to separate the first set of MR data into a background phase signal ϕ0(t) and a first directional phase signal ϕv,1(t) and separate the second set of MR data into a second directional phase signal ϕv,2(t) and a third directional phase signal ϕv,3(t). The MRI system is also programmed to reconstruct MRA images of the subject using the background phase signal ϕ0(t), the first directional phase signal ϕv,1(t), the second directional phase signal ϕv,2(t), the third directional phase signal ϕv,3(t).
In accordance with still another aspect of the present disclosure, a magnetic resonance imaging (MRI) system is provided. The MRI system includes a magnet system configured to generate a polarizing magnetic field about at least a portion of a subject arranged in the MRI system and a plurality of gradient coils configured to apply a gradient field to the polarizing magnetic field. The MRI system also includes a radio frequency (RF) system configured to apply an excitation field to the subject and acquire MR image data therefrom and a computer system. The computer system is programmed to control the plurality of gradient coils and RF system to acquire flow encoded (FE) data with alternating encoding polarities and along two of three orthogonal directions through the subject over at least two cycles of physiological flow within the subject. The computer system is further programmed to separate the FE data into directional FE datasets using a temporal filter that separates the FE data based on temporal modulation of the FE directions caused by the alternating encoding polarities extending over the at least two cycles of the flow within the subject that shift the Fourier spectrum of velocity waveforms corresponding to the FE data. The computer system is further programmed to use the directional FE datasets to generate an image of the subject showing flow within the subject caused by the at least two cycles of flow within the subject.
In accordance with yet another aspect of the disclosure, a method is provided for acquiring flow encoded data from a subject using a magnetic resonance imaging (MRI) system to reconstruct an image of the subject illustrating flow within the subject. The method includes (i) using the MRI system, acquiring flow encoded (FE) data with alternating encoding polarities and along at least one direction through the subject and (ii) determining a velocity of the flow within the subject in the at least one direction by analyzing a Fourier spectrum of the FE data to determine temporal modulation caused by the alternating encoding polarities that shift the Fourier spectrum. The method also includes using the FE data and the velocity of flow determined in step (ii), generating an image of the subject showing the velocity of flow within the subject.
The foregoing and other advantages of the invention will appear from the following description. In the description, reference is made to the accompanying drawings which form a part hereof, and in which there is shown by way of illustration a preferred embodiment of the invention. Such embodiment does not necessarily represent the full scope of the invention, however, and reference is made therefore to the claims and herein for interpreting the scope of the invention.
Referring particularly to
The pulse sequence server 110 functions in response to instructions downloaded from the workstation 102 to operate a gradient system 118 and a radiofrequency (RF) system 120. Gradient waveforms necessary to perform the prescribed scan are produced and applied to the gradient system 118, which excites gradient coils in an assembly 122 to produce the magnetic field gradients Gx, Gy, and Gz used for position encoding MR signals. The gradient coil assembly 122 forms part of a magnet assembly 124 that includes a polarizing magnet 126 and a whole-body RF coil 128 (or a head (and neck) RF coil for brain imaging).
RF excitation waveforms are applied to the RF coil 128, or a separate local coil, such as a head coil, by the RF system 120 to perform the prescribed magnetic resonance pulse sequence. Responsive MR signals detected by the RF coil 128, or a separate local coil, are received by the RF system 120, amplified, demodulated, filtered, and digitized under direction of commands produced by the pulse sequence server 110. The RF system 120 includes an RF transmitter for producing a wide variety of RF pulses used in MR pulse sequences. The RF transmitter is responsive to the scan prescription and direction from the pulse sequence server 110 to produce RF pulses of the desired frequency, phase, and pulse amplitude waveform. The generated RF pulses may be applied to the whole body RF coil 128 or to one or more local coils or coil arrays.
The RF system 120 also includes one or more RF receiver channels. Each RF receiver channel includes an RF preamplifier that amplifies the MR signal received by the coil 128 to which it is connected, and a detector that detects and digitizes the quadrature components of the received MR signal. The magnitude of the received MR signal may thus be determined at any sampled point by the square root of the sum of the squares of the I and Q components:
M=√{square root over (I2+Q2)} (1);
and the phase of the received MR signal may also be determined:
The pulse sequence server 110 also optionally receives patient data from a physiological acquisition controller 130. The controller 130 receives signals from a number of different sensors connected to the patient, such as electrocardiograph (ECG) signals from electrodes, or respiratory signals from a bellows or other respiratory monitoring device. Such signals are typically used by the pulse sequence server 110 to synchronize, or “gate,” the performance of the scan with the subject's heart beat or respiration.
The pulse sequence server 110 also connects to a scan room interface circuit 132 that receives signals from various sensors associated with the condition of the patient and the magnet system. It is also through the scan room interface circuit 132 that a patient positioning system 134 receives commands to move the patient to desired positions during the scan.
The digitized MR signal samples produced by the RF system 120 are received by the data acquisition server 112. The data acquisition server 112 operates in response to instructions downloaded from the workstation 102 to receive the real-time MR data and provide buffer storage, such that no data is lost by data overrun. In some scans, the data acquisition server 112 does little more than pass the acquired MR data to the data processor server 114. However, in scans that require information derived from acquired MR data to control the further performance of the scan, the data acquisition server 112 is programmed to produce such information and convey it to the pulse sequence server 110. For example, during prescans, MR data is acquired and used to calibrate the pulse sequence performed by the pulse sequence server 110. Also, navigator signals may be acquired during a scan and used to adjust the operating parameters of the RF system 120 or the gradient system 118, or to control the view order in which k-space is sampled. In all these examples, the data acquisition server 112 acquires MR data and processes it in real-time to produce information that is used to control the scan.
The data processing server 114 receives MR data from the data acquisition server 112 and processes it in accordance with instructions downloaded from the workstation 102. Such processing may include, for example: Fourier transformation of raw k-space MR data to produce two or three-dimensional images; the application of filters to a reconstructed image; the performance of a backprojection image reconstruction of acquired MR data; the generation of functional MR images; and the calculation of motion or flow images.
Images reconstructed by the data processing server 114 are conveyed back to the workstation 102 where they are stored. Real-time images are stored in a data base memory cache (not shown), from which they may be output to operator display 112 or a display 136 that is located near the magnet assembly 124 for use by attending physicians. Batch mode images or selected real time images are stored in a host database on disc storage 138. When such images have been reconstructed and transferred to storage, the data processing server 114 notifies the data store server 116 on the workstation 102. The workstation 102 may be used by an operator to archive the images, produce films, or send the images via a network or communication system 140 to other facilities that may include other networked workstations 142.
The communications system 140 and networked workstation 142 may represent any of the variety of local and remote computer systems that may be included within a given clinical or research facility including the system 100 or other, remote location that can communicate with the system 100. In this regard, the networked workstation 142 may be functionally and capably similar or equivalent to the operator workstation 102, despite being located remotely and communicating over the communication system 140. As such, the networked workstation 142 may have a display 144 and a keyboard 146. The networked workstation 142 includes a processor 148 that is commercially available to run a commercially-available operating system. The networked workstation 142 may be able to provide the operator interface that enables scan prescriptions to be entered into the MRI system 100.
As shown in
Referring particularly to
The magnitude of the RF excitation pulse produced at output 205 is attenuated by an exciter attenuator circuit 206 that receives a digital command from the pulse sequence server 18. The attenuated RF excitation pulses are applied to the power amplifier 151 that drives the RF coil 151A.
Referring still to
Referring to
Referring to
Before turning specifically to a detailed description of particular implementations of techniques in accordance with the present disclosure, some simplified explanations will be provided, starting with a description relative to an implementation of PC MRI that relies on an FC-free, two-sided FE acquisition. Consider, for example, a conventional 2D PC-MRI acquisition, such as described above with respect to
Then consider a two-sided FE strategy where only FEz data is sampled, but the polarity of the FEz M1 is alternated between successive cardiac phases. Such a 2D PC-MRI acquisition strategy is the same as the SVE technique described above. The phase for the acquired FEz signal, ϕz(t), is therefore ϕ0(t)+ϕv,z(t) for odd cardiac phases and ϕ0(t)−ϕv,z(t) for even cardiac phases, where ϕ0(t) is the waveform for the FC background phase and ϕv,z(t) is the signal phase associated with the z component of the blood velocity. If one performs a Fourier transform of ϕz(t) in the time direction, there will be two separate spectra: the spectrum for ϕ0(t) will occupy the lower frequency region, whereas the spectrum of ϕv,z(t) will be shifted by half of the spectral support due to the alternating 0°-180° phase modulations of the ϕv,z(t) waveform. The FC background phase generally does not change quickly in time; therefore, the spectrum for ϕ0(t) will have narrower bandwidth compared to ϕv,z(t).
Referring to
Applying a Fourier transform (506) yields a DC component corresponding to the constant FC 508 and separated FT signals 510 at Nyquist area. Due to the shifted spectrum, a filter 512 can be applied to separate the two spectra 514, 516 and recover ϕ0(t) and ϕv,z(t) after inverse Fourier transforms 518. That is, the FT 506 of data acquired from the paired FC-free two-sided FE velocity waveform separates the velocity spectrum FT(Vz) at Nyquist area and FC at low frequency region. Application of a Fermi filter (512) is applied to separate the two components.
In this scenario, due to the asymmetrical spectral support needed for the FC and FEz signals, this process approximately doubles the sampling rate for FEz and allocates the majority of the spectral bandwidth for the ϕv,z(t) signal and narrower bandwidth for the ϕ0(t) signal. This stands in contrast to conventional 2D PC-MRI, where one is forced to assign the same spectral support for both the FC and the FEz signal. It is noted that, in this case, the temporal resolution is doubled and the temporal footprint is halved for each cardiac phase compared to conventional 2D PC-MRI (1 TR vs. 2 TR's for n VPS sampling) since no FC data is acquired.
Now a hybrid, one- and two-sided FE acquisition can be described where the HOTSPA technique is used to simultaneously acquire FE data in two orthogonal directions rather than a FC/FE pair as described above. Referring again to
The FT of data acquired using the hybrid one- and two-sided FE technique yields the spectrum of two-sided velocity encoding (i.e. Vy) that is separated from the DC component FEx(=FC+Vx). As shown, the flow encoding polarity is alternated between two successive cardiac phases for one direction (in this example the Y direction only), such that the signal phase ϕxy(t) is ϕ0(t)+ϕv,x(t)+ϕv,y(t) for odd cardiac phases and is ϕ0(t)+ϕv,x(t)−ϕv,y(t) for even cardiac phases. To achieve this, it is recognized that such an encoding may be conceptualized as 45 degree rotation of the FE axes; however, the sampling rate is doubled since each TR is now considered a separate cardiac phase. Similar to the above-described FC-free, two-sided FE case, a Fourier transform 528 of the ϕxy(t) waveform produces three distinct spectra, one for ϕ0(t) 529, one for ϕv,x(t) 530, and one for ϕv,y(t) 532. The spectra of ϕ0(t) 529 and ϕv,x(t) 530 overlap as both are at the low temporal frequency region, whereas the spectrum of ϕv,y(t) 532 is shifted by half the spectral support due to the alternating phase of the sampling function for the ϕv,y(t) signal. Again, using the shifted spectrum, a filter 534 can be applied to separate the two spectra 536, 538 and recover ϕ0(t) and ϕv,z(t) after inverse Fourier transforms 540. For example, a Fermi filter can be applied to separate the spectra of two in-plane velocities. Thus, as illustrated in
This acquisition strategy can be extended to provide a HOTSPA 4D flow technique 542, which utilizes both the above-described FC-free, two-sided FE strategy 500 and the hybrid one- and two-sided FE strategy 520, as further illustrated in
Thus, the above-described approaches can be applied to four-point balanced PC-MRI sampling (i.e., tetrahedral M1 space sampling). Typical four-point balanced PC-MRI sequentially acquires: ϕ0+ϕx+ϕy+ϕz, ϕ0−ϕx−ϕy+ϕz, ϕ0−ϕx+ϕy−ϕz, and ϕ0+ϕx+ϕy−ϕz. However, the above-described systems and methods can be used to apply HOTSPA, for example, in two stages. First, four functions are defined as: f(t)=ϕ0+ϕy, f′(t)=ϕ0−ϕy, g(t)=ϕz+ϕx, and g′(t)=ϕz−ϕx. Hence, the four-point balanced PC-MRI samples the following flow waveforms: f(t)+g(t), f(t)−g(t) f′(t)+g′(t), and f′(t)−g′(t).
From the f(t)+g(t) and f(t)−g(t) data, the spectra for f(t) and g(t) can be separated using HOTSPA temporal filtering. From the f′(t)+g′(t), and f′(t)−g′(t) data, the spectra for f′(t) and g′(t) can be separated using HOTSPA temporal filtering. After solving for all four velocity waveforms, two additional HOTSPA temporal filterings can be applied. First, an alternating pattern of f(t)=ϕ0+ϕy and f′(t)=ϕ0−ϕy can be applied to separate the ϕ0 and ϕy spectra. Second, a filter for the alternating pattern of g(t)=ϕz+ϕx and g′(t)=ϕz−ϕx can be applied to separate the ϕz and ϕx spectra. In the four-point balanced PC-MRI case, all of the aforementioned benefits of HOTSPA apply.
In one non-limiting example, the filter may be a Fermi filter that is centered at peak of each spectrum as described by:
In Eqn. (3), the constant C controls the shape of the Fermi filter and C can be empirically chosen, for example, as C=0.22. Also in Eqn. (3), f represents temporal frequency, and f0 is the frequency corresponding to the full-with-half-maximum (FWHM) of the Fermi filter. In this non-limiting example, f0 was the frequency component with 10% of the maximum amplitude for the spectrum to be filtered or 25% of the spectral support, whichever results in a larger FWHM.
Referring to
At process block 608, the data sets are separately processed, as described with respect to
Thereafter, at process block 610, the data sets are subtracted and, at process block 612, the desired velocity/flow encoded images, such as angiographic images, are provided or displayed.
An example study was performed on a 3T scanner with a 4-channel neck (in vivo studies) coil. As used in this study, “mean flow velocity” means the average velocity within the entire blood vessel lumen. Also, “peak velocity” means the maximum velocity within the entire blood vessel. Further, “magnitude velocity” means the square root of sum of squares of 3D velocities (=√{square root over (Vx2+Vy2+vz2)}). The magnitude mean flow velocity can be used to indicate the average magnitude velocity within the entire blood vessel lumen, and magnitude peak velocity can be used to indicate the maximum magnitude velocity within the entire blood vessel lumen. Finally, “maximum velocity” means the maximum velocity within the entire cardiac cycle. This often happens in the peak systolic cardiac phases.
Retrospective In Vivo Study (2D)
The commons carotid arteries (CCAs) of six volunteers were scanned using a 2D PC-MRI sequence with 3 FE directions (FC/3FE). The sequence parameters included: VENC=100-110 cm/s, flip angle=20°, readout bandwidth=500 Hz/Pixel, TE=3.92 ms, TR=6.28 ms, Views-per-segment=1, acquired matrix=256×176, FOV=200×176 mm2, and slice thickness=7 mm. The imaging plane of each data set was at approximate 50° (instead of 90°) angle to the longitudinal axis of the CCAs so that the flow velocity has significant components in more than one direction. All scans were acquired during free breathing with prospective ECG gating and the 3D flow velocity waveforms were calculated for each pixel using conventional phase-contrast MRI reconstruction. Based on these ground truth velocity waveforms, we simulated a HOTSPA dataset and calculated what ϕz(t) and ϕxy(t) would have been for each cardiac phase if the HOTSPA acquisition strategy was employed. The quantitative flow and velocities calculated based on the simulated HOTSPA dataset were subsequently compared with the reference 2D FC/3FE PC-MRI results.
To demonstrate the benefits of HOTSPA over the previously-described SVE technique, one volunteer's two-sided z-directional FE data was used to independently perform the HOTSPA and the SVE velocity calculation, and the maximum peak velocity measurement accuracy of HOTSPA and SVE was compared at two different temporal resolutions (25.12 ms by using all cardiac phase of the simulated two-sided FEz data and 50.24 ms using only odd cardiac phases of the two-sided FEz data).
Prospective In Vivo Study
The HOTSPA acquisition strategy was implemented for a 3T MRI system. Six volunteers were scanned at the CCAs using the 2D FC/3FE PC-MRI sequence and our prospective 2D HOTSPA sequence. Both sequences were implemented with: VENC=100-110 cm/s, flip angle=20°, readout bandwidth=500 Hz/Pixel, TE=3.92 ms, TR=6.28 ms, VPS=1 and 2 for FC/3FE, and 2 only for HOTSPA, acquired matrix=256×176, FOV=200×176 mm2, and slice thickness=7 mm. Imaging plane of each data set was at approximate 50° angle to the longitudinal axis of the CCAs.
After the 2D study, six additional adult volunteers were scanned at the CCAs using the conventional 4D flow sequence and our 4D HOTSPA sequence with the following parameters: VENC=100-110 cm/s, flip angle=20°, readout bandwidth=815 Hz/Pixel, TE=3.61-3.90 ms, TR=6.13-6.42 ms, Views-per-segment=4 for conventional 4D flow and HOTSPA, acquired matrix=256×176×8, FOV=200×176×20 mm2. All 2D/4D in vivo scans in this study were acquired during free breathing with prospective ECG gating. For each data set, three slices (slice 2, 4, 6 along z-direction) were selected to compare total volumetric flow measurements and maximum magnitude peak velocity measurements.
Results
Retrospective In Vivo Study
Referring to
Also,
Bland-Altman plots of total volumetric flow and maximum magnitude peak velocity measurements among the 6 volunteers between the two techniques are shown in
Thus,
For example,
Prospective In Vivo Study
As shown in
Finally,
Thus, a flexible flow encoding strategy is provided for 4D flow MRI with improved temporal resolution and temporal footprint using temporal modulation of the flow encoding waveforms. In the HOTSPA technique, the four acquisitions (FC and 3 FE directions) of conventional FC/3FE have been reduced to two acquisitions with alternating encoding polarities for two of the three orthogonal FE directions (e.g. Z & Y directions) between two successive cardiac phases. This is clinically feasible because the temporal modulation of the FE directions shifts the Fourier spectrum of the velocity waveform for the direction with alternating polarity, which enables separation of the spectra for all three FE directions using a temporal filter. The conventional PC-MRI flow calculation is typically performed separately for each cardiac phase and recent k-t acceleration methods focus on performing a temporal modulation of sampling pattern in an under-sampled k-space. The HOTSPA technique provided herein provides a temporal modulation strategy for an under-sampled M1 space. Compared to conventional PC-MRI, HOTSPA enables a 50% shorter temporal footprint for each cardiac phase, which translates to more accurate peak flow velocity measurements while maintaining the measurement accuracy of total volumetric flow. Also, HOTSPA allows more flexible temporal filter spectral bandwidth on a voxel-by-voxel basis, whereas conventional PC-MRI effectively forces each FE direction to use the same spectral bandwidth, regardless whether or not there is significant flow in that FE direction for a given voxel. Furthermore, the temporal filter bandwidth for each FE direction can be retrospectively determined using HOTSPA for a given voxel, based on the actual acquired composite spectra for that voxel. It should be noted that HOTSPA can be combined with other k-space acceleration methods, such as parallel imaging and compressed sensing, to further accelerate data acquisition. Other techniques may include non-Cartesian sampling trajectories or sequence gradient optimization techniques that may be used with the above-described systems and methods.
HOTSPA technique provides more flexible choices of temporal resolution selections. The temporal resolution and footprint of HOTSPA can be controlled, for example, to be equal to 2*TR*views-per-segment, while the conventional FC/3FE equals to 4*TR*views-per-segment. For example, 2D PC-MRI experiments show that the HOTSPA technique can provide 12.5, 25, 37.5, 50 ms temporal resolution and temporal footprint selection; however, conventional FC/3FE can only provide 25, 50 ms. With this in mind, an application that needs 40 ms temporal resolution requires one to choose 1 VPS with 25 ms temporal resolution to maintain the measurement accuracy when using conventional FC/3FE. On the other hand, the HOTSPA technique enables the use of 3 VPS with 37.5 ms temporal resolution.
The present invention has been described in terms of one or more preferred embodiments, and it should be appreciated that many equivalents, alternatives, variations, and modifications, aside from those expressly stated, are possible and within the scope of the invention.
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